Renal Treatment Centers-Southeast LP
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Demopolis, AL. Organization (NPI-2).
NPI number1285046979
StatusActive
Last updated in NPPESJun 12, 2026
Details
- NPI
- 1285046979
- Entity type
- Organization (NPI-2)
- Legal business name
- Renal Treatment Centers-Southeast LP
- Organization subpart
- No
- Enumeration date
- May 29, 2014
- Certification date
- Jun 12, 2026
- Last updated
- Jun 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- White Bluff Dialysis (Doing Business As)
Practice location
505 Us Highway 80 W Ste FDemopolis, AL 36732-4148
Phone 334-287-1254 · Fax 334-287-1166
Mailing address
5200 Virginia WayL & C Department
Brentwood, TN 37027-7569
Authorized official
Samuel Wey
Vp Licensure & Certification
6153416641
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